Spectral AI, Inc. (MDAI) AI Stock Analysis
MDAI AI stock analysis summary
AI ResearchSpectral AI, Inc. (MDAI) develops predictive medical diagnostics powered by artificial intelligence, targeting conditions like burns and diabetic foot ulcers. The company generated $15.4M in trailing twelve-month revenue but continues to operate at a loss with an operating margin of -122.7%. With a market capitalization of $48.6M, MDAI has seen its shares drop 38.6% over the past year.
- Market cap
- $48.6M
- Revenue (TTM)
- $15.4M
- P/E
- — fwd 52.4x
- 1Y return
- -38.6% S&P 500 16.8%
- Avg. target
- $5.11 238.6% vs last close
Bull case
- Analysts project revenue to accelerate 75.0% to $32.4M in the next fiscal year.
- The single covering analyst assigns a Strong Buy rating with a mean price target of $5.11, representing a 238.6% premium over the last close of $1.51.
- Gross margins have demonstrated stability, recording 45.4% in FY2025 and 44.9% in FY2024.
Bear case
- Revenue fell 30.4% year-over-year in the latest quarter ending June 30, 2026, alongside a trailing twelve-month net profit margin of -65.5%.
- Spectral AI carries negative shareholders' equity of -$12.1M and a current ratio of 0.90 as of June 30, 2026.
- Operating cash flow and free cash flow were both negative at -$9.9M in FY2025, reflecting persistent cash burn.
What Spectral AI does
Spectral AI, Inc. is an artificial intelligence company based in Dallas, Texas, specializing in the development of predictive medical diagnostics. Its primary focus is advancing healthcare through solutions that enhance treatment decisions, especially in wound care such as burns and diabetic foot ulcers. The company's core offering is the DeepView System, which integrates AI-Burn to combine AI algorithms with multispectral imaging to assess wound healing potential objectively and immediately. Spectral AI also develops the DeepView SnapShot M, a portable, handheld, wireless diagnostic tool designed for emergency care, first responders, government facilities, and home healthcare settings.
Growth and profitability
Between FY2021 and FY2025, revenue achieved a 4-year compound annual growth rate of 6.6%, moving from $15.2M in FY2021 to a peak of $29.6M in FY2024 before dropping 33.6% to $19.6M in FY2025. Gross margin has remained steady, reaching 45.4% in FY2025 compared to 46.3% in FY2021. However, operating margin stood at -43.8% in FY2025, and net income was -$7.6M with an EPS of -$0.31. In the trailing twelve months ending June 30, 2026, revenue totaled $15.4M with a quarterly revenue decline of 30.4% year-over-year, alongside a net profit margin of -65.5% and an EPS of -$0.32.
Balance sheet and cash flow
As of June 30, 2026, Spectral AI held $14.0M in cash and short-term investments against total debt of $16.3M, resulting in net debt of $2.3M. Total assets stood at $19.4M, while shareholders' equity was -$12.1M, representing negative equity. The company reported a current ratio of 0.90. Cash flow remained negative, with operating cash flow and free cash flow both at -$9.9M in FY2025. In addition, the company's share count increased by 1.4% over a 5-year period.
Valuation and performance
MDAI trades at a market capitalization of $48.6M and an enterprise value of $55.7M. The stock trades at a forward P/E of 52.4x, which is above the 17.3x forward P/E median of its US-listed Healthcare peers. Its price-to-sales ratio is 3.2x, below the peer group median of 4.1x, while its enterprise value-to-revenue multiple is 3.6x. Over the past year, MDAI shares declined 38.6%, lagging the 16.8% return for the S&P 500 benchmark SPY. Over 5 years, the stock is down 84.5% compared to an 83.0% gain for SPY.
What analysts expect
Wall Street coverage includes 1 Strong Buy rating, 0 Buy ratings, and 0 Hold or Sell ratings. The mean price target is $5.11, which implies an upside of 238.6% from the last close of $1.51 on October 16, 2026. For the fiscal year ending December 31, 2026, consensus estimates project revenue of $18.5M and an EPS of -$0.47. For the following fiscal year, 3 analysts project revenue to expand 75.0% to $32.4M with an EPS of -$0.31. Spectral AI beat EPS estimates in 2 of the last 4 quarters, and its next earnings date is November 10, 2026.
Key risks and what to watch
- A current ratio of 0.90 and negative equity of -$12.1M highlight short-term liquidity constraints.
- The forward P/E multiple of 52.4x is significantly higher than the US-listed Healthcare peer median of 17.3x.
- The stock has declined 84.5% over the past 5 years and trades 11.5% below its 200-day moving average.
- Short interest accounts for 8.2% of the float, indicating notable bearish sentiment among market participants.
AI-generated research summary. Written with AI from Quotelinks data as of October 16, 2026 and checked so every figure matches that data. For information only, not investment advice. Disclaimer
About this MDAI AI stock analysis
This page is an AI-written research summary of Spectral AI, Inc. (MDAI). The text was generated on October 30, 2026 from Quotelinks data as of October 16, 2026 (company profile, annual results, latest balance sheet, valuation, price performance and analyst estimates). An automatic check rejects any draft that contains a figure not found in that data. It is not investment advice; verify figures on the linked tabs before making decisions.
Related: MDAI income statement, MDAI balance sheet, MDAI key metrics, MDAI analyst forecast, MDAI chart. See the MDAI stock overview for the latest quote and news.
MDAI AI stock analysis FAQ
What is Spectral AI's core product?
Spectral AI develops the DeepView System, which combines AI algorithms with multispectral imaging to evaluate wound healing potential, alongside the handheld DeepView SnapShot M diagnostic tool.
Does Spectral AI pay a dividend?
No, Spectral AI does not pay a dividend.
What are analysts forecasting for MDAI's financial performance?
Analysts estimate revenue of $18.5M and an EPS of -$0.47 for the fiscal year ending December 31, 2026, followed by $32.4M in revenue and an EPS of -$0.31 in the next fiscal year.
When is Spectral AI's next earnings report?
Spectral AI is scheduled to report its next earnings on November 10, 2026.